Aetiology of lichen planus
Idiopathic
Possibly AI involvement/ Hep C
T cells induce apoptosis of Keratinocytes
Sites affected by Lichen Planus
Favours flexors + extremities Wrists Ankles Small of back Mouth Genitalia
6 features of lichen planus
Papular Planar- Flat topped Polished- shiny Pruritic Polygonal/ pigmented Purple- Violaceous
Tx for lichen planus
Clobetasol/ Betamethasone TOP
Antihistamines to reduce itch
Describe oral presentation of lichen planus
Lacy, reticulate streaks on cheeks, gums + lips
Describe the surface of lesions in lichen planus
Fine network of dots/ lines = Wickham’s striae